Evidence map›Paper›PMID 37043053›Full record

Trial reportAIDS and behavior2023

Acceptability and Feasibility of Providing Adherence Feedback Based on Tenofovir Diphosphate in Dried Blood Spots: Results from a Pilot Study Among Patients and Providers in Cape Town, South Africa.

Christopher M Ferraris, Paul A D'avanzo, Lauren Jennings, Reuben N Robbins, Nadia Nguyen, Cheng-Shiun Leu, Curtis Dolezal, Ofole Mgbako, Nei-Yuan Hsiao, John Joska and 7 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in AIDS and behavior, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.4field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 9 institutions in 2 countries.

Christopher M FerrarisHIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA. christopher.ferraris@nyspi.columbia.edu.ORCID http://orcid.org/0000-0001-7074-7642
Paul A D'avanzoHIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA.
Lauren JenningsDesmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Department of Medicine, University of Cape Town, Cape Town, South Africa. lauren.jennings@hiv-research.org.za.
Reuben N RobbinsHIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA.
Nadia NguyenAaron Diamond AIDS Research Center, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Cheng-Shiun LeuColumbia University Mailman School of Public Health, New York, NY, USA.
Curtis DolezalHIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA.
Ofole MgbakoDivision of Infectious Diseases, Department of Medicine, NYU Langone Health, New York, NY, USA.
Nei-Yuan HsiaoNational Health Laboratory Service, Cape Town, South Africa.
John JoskaUniversity of Cape Town, Cape Town, South Africa.
Jose R Castillo-MancillaUniversity of Colorado, Aurora, CO, USA.
Landon MyerDivision of Epidemiology & Biostatistics, School of Public Health & Family Medicine, University of Cape Town, Cape Town, South Africa.
Peter L AndersonUniversity of Colorado, Aurora, CO, USA.
Pablo F Belaunzarán-ZamudioContractor for the National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, MD, USA.
Claude A MellinsHIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA.
Catherine Orrell *Desmond Tutu HIV Centre, Institute of Infectious Disease and Molecular Medicine, Department of Medicine, University of Cape Town, Cape Town, South Africa.
Robert H Remien *HIV Center for Clinical and Behavioral Studies, Psychiatric Institute, Columbia University, New York, NY, USA.
New York Psychoanalytic Society and Institute · USDesmond Tutu HIV Foundation · ZAUniversity of Cape Town · ZAUniversity of Colorado Anschutz Medical Campus · USAaron Diamond AIDS Research Center · USColumbia University · USNational Health Laboratory Service · ZANational Institutes of Health · USNYU Langone Health · US

Funding

The Statistics, Data Science, and Data Management (SDM) CoreP30MH043520 · NIMH · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI MILTON L WAINBERG · 2003 to 2026
$48.2M
INSPIRE : Interdisciplinary Social and Behavioral Science Prevention and Intervention REsearch in HIVT32MH019139 · NIMH · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Claude Ann Mellins, Jae M. Sevelius · 1989 to 2026
$10.8M
Use of ARV Drug Levels in DBS to Assess and Manage ART Adherence in South AfricaR01AI122300 · NIAID · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI ORRELL, CATHERINE, REMIEN, ROBERT H · 2016 to 2020
$4.6M
NIAID NIH HHS R01 AI122300NIMH NIH HHS P30 MH043520NIMH NIH HHS T32 MH019139
6 · The paper itself

Abstract

Tenofovir diphosphate (TFV-DP) concentrations in dried blood spots (DBS) predict viral breakthrough, but their use remains understudied in real-world clinic settings. This pilot study examined acceptability, feasibility, and initial adherence outcomes of providing adherence feedback using TFV-DP concentrations on patient- and provider-levels in Cape Town, South Africa. We enrolled 60 persons with HIV (PWH) receiving tenofovir-containing ART attending a primary health clinic. They were randomized 1:1 to an intervention receiving TFV-DP concentration feedback by research staff vs. no feedback at monthly visits for 4 months. Acceptability among medical providers and level of clinical follow-up of TFV-DP results was examined. Patient acceptability was assessed descriptively. Mean electronic adherence (EA), as measured by WisePill device, and TFV-DP in DBS were compared between the two arms. All participants in the intervention group (100%) reported finding TFV-DP feedback helpful and 86% reported changing adherence behaviors. Medical providers indicated high acceptability of incorporating TFV-DP concentration feedback into the clinic, yet among 29 results < 1000 fmol/punch, only 2 were reviewed with no follow-up actions performed. In the intervention arm, mean TFV-DP concentrations were significantly higher (t = 2.5, p < .01) during follow-up and EA in upper quartile (96-100%) was greater compared to controls (x

Indexed as

Anti-HIV AgentsHIV InfectionsAdenineFeasibility StudiesHumansOrganophosphatesPilot ProjectsSouth AfricaAdenineAnti-HIV AgentsOrganophosphatestenofovir diphosphateadherenceantiretroviral therapydried blood spotsHIVtenofovir diphosphate

Identifiers

PMID37043053
PMCPMC10811583
OpenAlexW4365136359

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.